Provider Demographics
NPI:1528468238
Name:MOUNT OLIVES HOSPICE
Entity type:Organization
Organization Name:MOUNT OLIVES HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DARHIAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-315-1993
Mailing Address - Street 1:22030 SHERMAN WAY STE 309
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1899
Mailing Address - Country:US
Mailing Address - Phone:888-315-1993
Mailing Address - Fax:866-619-1092
Practice Address - Street 1:22030 SHERMAN WAY STE 309
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1899
Practice Address - Country:US
Practice Address - Phone:888-315-1993
Practice Address - Fax:866-619-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based